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Utility of the Structured Interview of Reported Symptoms (SIRS-2) in detecting feigned adult attention-deficit/hyperactivity disorder

Becke, M., Fuermaier, A. B. M., Buehren, J., Weisbrod, M., Aschenbrenner, S., Tucha, O. & Tucha, L., 2019, In : Journal of Clinical and Experimental Neuropsychology. 41, 8, p. 786-802 17 p.

Research output: Contribution to journalArticleAcademicpeer-review

Introduction: The Structured Interview of Reported Symptoms (SIRS-2) utilizes various strategies in the detection of simulated psychiatric disorders. The present study aimed to examine which of these strategies proves most useful in uncovering feigned attention deficit hyperactivity disorder (ADHD) in adulthood. Method: One-hundred seventy-one individuals instructed to feign ADHD were compared to 46 genuine patients with ADHD as well as 99 neurotypical controls in their reports provided on the SIRS-2. Results: Responses provided by simulators resembled those of genuine patients with ADHD on all SIRS-2 subscales with the exception of a supplementary scale tapping Overly Specified symptom reports, where a moderate effect emerged (d = 0.88). Classification accuracy remained low, with particularly poor sensitivity (sensitivity = 19.30%). Sensitivity was higher when the decision rules postulated in the first edition SIRS were applied instead of its successor's decision model, yet this increase in sensitivity came at the price of unacceptably low specificity. Conclusion: The present results call for a disorder-specific instrument for the detection of simulated ADHD and offer starting points for the development of such a tool.

Original languageEnglish
Pages (from-to)786-802
Number of pages17
JournalJournal of Clinical and Experimental Neuropsychology
Volume41
Issue number8
Early online date3-Jun-2019
Publication statusPublished - 2019

    Keywords

  • DEFICIT-HYPERACTIVITY-DISORDER, RATING-SCALE, NONCREDIBLE PERFORMANCE, VALIDITY ASSESSMENT, INFREQUENCY INDEX, RESPONSE BIAS, ADHD, EXAGGERATION, COMORBIDITY, MEDICATIONS

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